• 제목/요약/키워드: Medical education

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중소기업 물류경영 정보화를 위한 CALS/EC 전략 (The Strategies of Logistics Management for SMEs through CALS/EC)

  • 김창균
    • 통상정보연구
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    • 제1권1호
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    • pp.179-201
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    • 1999
  • 물류의 흐름을 배제한 CALS/EC는 있을 수 없다. CALS/EC에서도 거래의 최종단계는 고객이 요구하는 상품 또는 서비스를 전달하는 것이기 때문이다. CALS/EC를 이용한 물류정보화가 물류 문제 해결에 도움을 줄 수 있고, 전자상거래의 활성화를 가로막는 물류 문제를 분석하기 위해 새로운 환경에서의 물류 요구의 변화를 분석하였다. 전자상거래와 물류정보화 활성화와 관련하여, 전자상거래 등 산업활동의 정보화 추이를 고려한 물류체계의 고도화, 산업전반의 물류정보화 촉진을 위한 법 제도의 개선, 물류산업전반의 경쟁력 제고를 위한 규제개혁 추진, 전자상거래 활성화률 위한 통관체제의 개선 등이 필요하다.

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Physicochemical Properties of Protoporphyrin IX by Metal Ions in Acetonitrile-Water Mixture Solution

  • Bark, Ki-Min;Yang, Jeong-Im;Lee, Ho-Suk;Lee, Jee-Bum;Park, Chul-Ho;Park, Hyoung-Ryun
    • Bulletin of the Korean Chemical Society
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    • 제31권6호
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    • pp.1633-1637
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    • 2010
  • The UV-vis absorption spectrum of protoporphyrin IX shows a very sharp and strong absorption maximum peak at 398 nm in acetonitrile-water mixture solution (1:1 v/v). When divalent metal ions such as $Cu^{2+}$, $Zn^{2+}$, and $Ca^{2+}$ ion were added to protoporphyrin IX, metal protoporphyrin IX complexes were thereby produced. Cu-protoporphyrin IX complexes have the largest formation constant ($K_f$) among them. The fluorescence intensity of protoporphyrin IX was diminished by the presence of $Cu^{2+}$, $Zn^{2+}$, $Ca^{2+}$, $Mn^{2+}$, and $Ni^{2+}$ ions as quenchers. However, $Mg^{2+}$, $Mn^{2+}$, and $Ni^{2+}$ ions are hardly combined with protoporphyrin IX. $Mg^{2+}$ ion does not take part in the fluorescence quenching process of protoporphyrin IX in acetonitrile-water mixture solution. According to the Stern-Volmer plots, fluorescence quenching by $Cu^{2+}$, $Zn^{2+}$, and $Ca^{2+}$ ions involves static quenching, which is due to complex formation. On the contrary, dynamic quenching has a large influence on the overall quenching process, when $Mn^{2+}$ and $Ni^{2+}$ ions were added to protoporphyrin IX in acetonitrile-water mixture solution.

생체 간이식 공여자의 불확실성과 간 공여 영향 요인 (Uncertainty and Factors Affecting Organ Donation in Living Liver Donors)

  • 전희옥;박호란;박진희
    • 한국보건간호학회지
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    • 제19권1호
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    • pp.129-138
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    • 2005
  • As the patients who need to undergo liver transplant operation continues to grow. the number of livers that are donated can not keep pace with the demand. With the development of surgery skills, the necessity for operations from living donors is increasing. Nevertheless, satisfactory research has been conducted on the factors which generally affect the living donors. In this article. therefore. researchers focused on the factors which generally affect the donating liver donor in order to design a plan for recommending liver donation from living donors. The subjects were 91 living liver donors in C university hospital from October 1. 2000 to December 31. 2003. The results on the uncertainty of living donor, by test sheet. were analyzed with SAS program. The final results were as follows: 1. The uncertainty of the living donors was 51.54 marks per full credit 100. 2. The factor with the greatest effect on donation was the possibility of survival of the donor, followed by the admission period. marriage status and age. In recommending the living donation, the rate of donor survival after the operation was 5.2 times higher than death, 5.2 times higher when the admission period was under 20 days. 5.0 times higher when married. and 27.3 times higher when the family-related donation was very active at the age of 20s than in the 50s. These results suggest that all medical staffs should care for living donors with more interest and activity to give them the least complaints in admission and the lowest possibilities for complication. To enhance the survival rate and improve the surgical success rate. on-going monitoring should include regular health-checks. and continual efforts and education should be made to care for the health condition of the living donors after donation.

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새터민(탈북자)의 삶의 질 (Quality of Life of North Korean Defectors in Korea)

  • 신기수;조갑출;양선희;이옥철;백희정;이규영;이숙정
    • 한국보건간호학회지
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    • 제25권2호
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    • pp.221-232
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    • 2011
  • Purpose: The study sought to provide basic information for North Korean defectors (Sae-Tu-Min) by studying the quality of life(QoL) based on their general characteristics and health problems. Methods: The targeted subjects were 1400 North Korean settlers who were receiving settlement service by Korean National Red Cross after finishing their training at Hanawon in 2005. The data was collected from August to October in 2007. The QoL was assessed by Medical Outcomes Study Short Form-36. Collected data were analyzed by ANOVA and t-test with SPSS win 15.0 program. Result: The majority of the 466 subjects were female(77.9%). The average age was 36.8 years, 52.8% lived alone, and 64.0% were unemployed. The average QoL score of the group was $62.4{\pm}18.4$, which was markedly lower in terms of social, physical and mental health compared to the scores of immigrants to South Korea from other countries. The score was the highest for physical ability and the lowest for general health. Influential socio-demographic factors to QoL were gender, age, education, religion, annual salary, occupation, and life insurance. Employed in the subject group showed higher level of QoL on eight categories than unemployed. Concerning health problems that detracted from QoL, 18.5% of the subjects were aware they suffered from anemia and 8.8% of them recognized they suffered from attention deficits. Conclusion: The health conditions of the North Korean settlers had improved since they settled in South Korea, but their QoL was lower than other immigrants. Various programs to maintain and promote the health of North Korean settlers would be useful.

Genetic Epidemiology of Renin-Angiotensin System in Korean Population

  • Kang, Byung-Yong;Bae, Joon-Seol;Kim, Ki-Tae;Oh, Ju-Hyung;Lee, Kang-Oh;Ryu, Jae-Chun;Kim, Jae-Hyoun;Oh, Sang-Duk;Yoon, Moon-Young;Lee, Chung-Choo
    • 한국환경성돌연변이발암원학회지
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    • 제22권1호
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    • pp.12-21
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    • 2002
  • Genetic polymorphisms of the renin-angiotensin system (RAS) have been associated with hypertension in various ethnic groups, but no relation between these polymorphisms and hypertension has yet been systematically evaluated. To assess the relationship between allelic variation of RAS genes and hypertension, we performed the case-control studies using genetic markers in Korean normotensives and hypertensives. The allele and genotype frequencies of RAS genes in Korean population were not significantly different between normotensives and hypertensives. To investigate the distribution of allele frequencies among various populations, the data obtained in this study were compared to those in other ethnic groups studied previously. Except for T174M polymorphism of angiotensinogen (AGT) gene, allele frequencies of RAS genes were different among racial groups. The reason for these differences may be due to the difference in various genetic or environmental background or due to the effects by various sample size studied. In addition, it can be emphasized that carefully designed studies are required to minimize the ethnic heterogeneity of the case and control populations.

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SNP Analysis of the Human LDL Receptor and CETP Gene in Korean Subjects with Hypertension

  • Shin, Jae-Hyun;Kang, Byung-Yong;Lee, Kang-Oh;Eo, Hyun-Shun;Bae, Joon-Seol;Kim, Ki-Tae;Kim, Hyun-Sup;Lee, Chung-Choo
    • 한국환경성돌연변이발암원학회지
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    • 제22권1호
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    • pp.47-53
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    • 2002
  • Essential hypertension is complex disorder influenced by multiple genetic and environmental factors. Alterations of lipid metabolism in plasma have been reported to be related to an increased risk of essential hypertension. The aim of this study was to investigate the relationship between two SNPs of the human LDL receptor and CETP gene and hypertension in Korean population. There were no significant differences in allele and genotype frequencies of two SNPs in normotensives and hypertensives. With respect to Hinc II RFLP in the LDL receptor gene, pooled odds ratio value indicated the significant heterogeneity among populations studied by meta-analysis (Breslow-Day test df = 2, P<0.05). In the case of Bam HI RFLP in the CETP gene,. our study is the first report of an association between the SNP of the CETP gene and hypertension, although our result failed to demonstrate the significant association between the Bam HI RFLP of the CETP gene and hypertension in Korean population. Further work, using larger sample sizes and various ethnic groups, is required to establish the precise role of these two candidate gene polymorphisms on hypertension.

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중요도-만족도 변환지수를 이용한 대학 교육서비스 품질 측정 연구 (A study measuring university educational service quality using importance-satisfaction transformed index)

  • 최경호;강성
    • Journal of the Korean Data and Information Science Society
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    • 제22권4호
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    • pp.765-773
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    • 2011
  • 오늘날 국내의 많은 대학은 글로벌 교육시장이 발달하고 입학 지원자수가 감소하게 됨에 따라 대학 간 경쟁이 심화되고 특히 지방대학에서는 입학충원률을 높이고 중도탈락률을 감소시키기 위하여 치열하게 경쟁하고 있다. 이러한 경쟁에서 살아남기 위해서 다양한 노력을 기울이고 있는바, 대학 교육서비스 품질 향상이 일차적이고 우선적인 문제라고 할 수 있다. 이에 본 연구에서는 고등교육분야의 특정한 상황에 맞는 대학 교육서비스 품질 측정도구를 개발하고, 이를 통하여 대학 교육서비스 품질을 결정하는 요인을 도출해 보았으며, 전반적 만족도나 구전효과에 대해 통계적으로 유의한 요인이 무엇인지 규명해 보았다. 나아가 29개의 품질속성에 대해 중요도-만족도 변환지수를 이용하여 해석한 결과, 교수요인, 신뢰요인, 유형요인에 대해서는 매우 긍정적인 평가인 반면 직원요인에 대해서는 비교적 덜 긍정적으로 평가되었다.

미숙아, 후기 미숙아와 조기 만삭아의 모유수유 실태 및 모유수유 임파워먼트 비교 (Comparison of breast feeding practice rates and mothers' breast feeding empowerment in preterm, late preterm and early term infants)

  • 김태임;장군자
    • Journal of the Korean Data and Information Science Society
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    • 제24권4호
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    • pp.713-721
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    • 2013
  • 모유는 아기에게 필요한 풍부한 영양분을 고루 갖춘 우수한 영양 공급원으로 특히 미숙아의 성장발달에 매우 중요하지만 미숙아의 모유수유 실천정도는 매우 저조한 실정이다. 본 연구는 재태 연령을 기준으로 34주 미만 미숙아, 34주 0일에서 36주 6일의 후기 미숙아, 37주 0일에서 38주 6일의 조기 만삭아를 분만한 어머니를 대상으로 모유수유 실천율과 모유수유 임파워먼트를 비교 분석하기 위함이다. 병원 퇴원 당시 모유수유 실천율은 세 군 간에 유의한 차이가 있었다. 즉, 후기 미숙아와 34주 미만 미숙아의 모유수유 실천율은 조기 만삭아의 모유수유 실천율보다 낮았다. 또 모유수유 임파워먼트 총점에서도 34주 미만 미숙아 모와 후기 미숙아 모는 조기 만삭아 모보다 더 낮은 것으로 나타났다. 이는 국내 모유수유 실천율을 향상시키기 위해 미숙아 모를 대상으로 한 모유수유 증진 방안이 마련되어야 하고 이 때 모유수유 실천에 대한 자신감 부여가 필요함을 나타내는 결과이다.

Study on the trends in Korean clinical practice guidelines development

  • An, So-Youn;Kim, Hyun Jeong;Kim, Seungoh;Kim, Jongbin;Seo, Kwang-Suk;Lee, Deok-Won;Hwang, Kyung-Gyun
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제16권1호
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    • pp.31-37
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    • 2016
  • Background: The definition of evidence-based clinical practice guidelines (CPGs) is "statements that are systematically developed to assist in the doctors' and patients' decision-making in certain situations." This study aims to establish the concept of evidence-based CPGs and investigate the development status to seek measures to apply evidence-based methods to CPG development for dental sedation in Korea. Methods: The study conducted systematic searching methods based on evidence-based CPGs. Articles published between 1995 to 2015 were searched on a Korean database and the international database PubMed. The search was based on keywords related to four subjects (dentistry, clinical practice, guideline, recommendation). Two authors independently reviewed the searched articles to determine their analysis inclusion and the convergence stages, and to arrive at a conclusion through discussion. Results: A total of 65 Korean CPGs were included. There were 51 medical guidelines, of which seven were dental and seven were Oriental medicine. Conclusions: As a basic direction for the development of evidence-based CPGs, this work suggests the following: increased awareness; consensus on the need to supply evidence-based development methods; education, computerization, and systematic observation of evidence-based CPG development methods; continuous research development and distribution of CPGs; and creation of a database for Korean clinical dentistry practice outcomes

간호원의 신뢰수준에 관한 연구 (A study on Trust Level of Nurses)

  • 임현빈
    • 대한간호학회지
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    • 제7권1호
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    • pp.10-19
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    • 1977
  • Trust is an essential factor in human relations, as it enables man to accept and also disclose self. Today's health care demands nursing personnel with high level of trust . This study was designed and carried out in May through June, 1976 to measure the level of trust on nurses through the trust scale of Nurses (75- N) made by Kenneth et al. and the Parent Inventory made by Rake and to provide data for management of nursing personnel. 150 junior nursing students, 164 professional nurses from 5 universities and their medical centers and 55 nurse- educators from 8 baccalaureate nursing programs in Seoul were randomly sampled. Results are as follows : 1. The rank order of the level of trust revealed that nurse educators the highest and nursing students the lowest. 2. The level of trust revealed to be influenced by the relationship with parents at the early stages of life ; Group who appeared to have shared intimacy with their parents were the highest. 3. Factors such as ; number of siblings and birth order among them, religious affiliation, parental presence revealed to have had no influence on the level of trust in all three group. 4. No significant difference were revealed between the group who had put their names down on the questionnaire and the others. 5. Clinical specialities of practice revealed to have no signigicant influence on trust in nurses. 6. Marital status revealed to have significant influence : in nurses and nurse- educators, the mastered re vented to have significantly higher level of trust. (difference by Recommendations : 1. A study on trust level of patients and Nurses in Nurse- patient Relationship. 2. A longitudinal study to investigate the influence of Nursing education on the development of trust in Nurses are recommended. 3. A comparative study on trust level of students of Nursing & non- Nursing major.

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